{"id":"https://openalex.org/W2073025289","doi":"https://doi.org/10.2217/cer.13.58","title":"Engaging older adults in their transitional care: what more needs to be done?","display_name":"Engaging older adults in their transitional care: what more needs to be done?","publication_year":2013,"publication_date":"2013-09-01","ids":{"openalex":"https://openalex.org/W2073025289","doi":"https://doi.org/10.2217/cer.13.58","mag":"2073025289","pmid":"https://pubmed.ncbi.nlm.nih.gov/24236743"},"language":"en","primary_location":{"id":"doi:10.2217/cer.13.58","doi":"https://doi.org/10.2217/cer.13.58","is_oa":false,"landing_page_url":"https://doi.org/10.2217/cer.13.58","pdf_url":null,"source":{"id":"https://openalex.org/S2489859990","display_name":"Journal of Comparative Effectiveness Research","issn_l":"2042-6305","issn":["2042-6305","2042-6313"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310321119","host_organization_name":"Future Medicine","host_organization_lineage":["https://openalex.org/P4310321119"],"host_organization_lineage_names":["Future Medicine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Comparative Effectiveness Research","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034514941","display_name":"Mary Duffin Naylor","orcid":"https://orcid.org/0000-0001-9287-153X","observed_orcids":["https://orcid.org/0000-0001-9287-153X"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Mary D Naylor","raw_affiliation_strings":["University of Pennsylvania, School of Nursing, Fagin Hall Room 341, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USA. "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania, School of Nursing, Fagin Hall Room 341, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USA. ","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002078656","display_name":"Karen B. Hirschman","orcid":"https://orcid.org/0000-0003-4886-7765","observed_orcids":["https://orcid.org/0000-0003-4886-7765"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen B Hirschman","raw_affiliation_strings":["University of Pennsylvania, School of Nursing, Fagin Hall Room 341, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania, School of Nursing, Fagin Hall Room 341, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031141147","display_name":"Melissa Lunsman O\u2019Connor","orcid":"https://orcid.org/0000-0002-2550-3590","observed_orcids":["https://orcid.org/0000-0002-2550-3590"]},"institutions":[{"id":"https://openalex.org/I7863295","display_name":"Villanova University","ror":"https://ror.org/02g7kd627","country_code":"US","type":"education","lineage":["https://openalex.org/I7863295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa O\u2018Connor","raw_affiliation_strings":["College of Nursing, Villanova University, Villanova, PA, USA","College of Nursing, Villanova University, Villanova,#R# PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Nursing, Villanova University, Villanova, PA, USA","institution_ids":["https://openalex.org/I7863295"]},{"raw_affiliation_string":"College of Nursing, Villanova University, Villanova,#R# PA, USA","institution_ids":["https://openalex.org/I7863295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074698781","display_name":"Ronald Barg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210143392","display_name":"University of Pennsylvania Health System","ror":"https://ror.org/04h81rw26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210143392"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ronald Barg","raw_affiliation_strings":["Clinical Care Associates, University of Pennsylvania Health System, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Care Associates, University of Pennsylvania Health System, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I4210143392"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072048687","display_name":"Mark V. Pauly","orcid":"https://orcid.org/0000-0003-4957-4825","observed_orcids":["https://orcid.org/0000-0003-4957-4825"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark V Pauly","raw_affiliation_strings":["The Wharton School, University of Pennsylvania, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Wharton School, University of Pennsylvania, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5034514941"],"corresponding_institution_ids":["https://openalex.org/I79576946"],"apc_list":null,"apc_paid":null,"fwci":0.664,"has_fulltext":false,"cited_by_count":54,"citation_normalized_percentile":{"value":0.54893964,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"2","issue":"5","first_page":"457","last_page":"468"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.5996000170707703,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.5996000170707703,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.12950000166893005,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12823","display_name":"Adolescent and Pediatric Healthcare","score":0.03779999911785126,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8429999947547913},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.968999981880188},{"id":"https://openalex.org/keywords/patient-engagement","display_name":"patient engagement","score":0.9079999923706055},{"id":"https://openalex.org/keywords/care-management","display_name":"care management","score":0.8320000171661377},{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.8370000123977661},{"id":"https://openalex.org/keywords/patient-provider-partnership","display_name":"patient-provider partnership","score":0.8529999852180481},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.8460000157356262},{"id":"https://openalex.org/keywords/health-literacy","display_name":"health literacy","score":0.9879999756813049},{"id":"https://openalex.org/keywords/self-management","display_name":"self-management","score":0.949999988079071},{"id":"https://openalex.org/keywords/family-caregivers","display_name":"family caregivers","score":0.9710000157356262},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.8799999952316284},{"id":"https://openalex.org/keywords/evidence-based-strategies","display_name":"evidence-based strategies","score":0.8029999732971191}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8475894927978516},{"id":"https://openalex.org/C2778111679","wikidata":"https://www.wikidata.org/wiki/Q5155639","display_name":"Comparative effectiveness research","level":3,"score":0.725316047668457},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.5837899446487427},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5222002863883972},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4649241268634796},{"id":"https://openalex.org/C2780454255","wikidata":"https://www.wikidata.org/wiki/Q7111916","display_name":"Outcomes research","level":3,"score":0.4623509645462036},{"id":"https://openalex.org/C2779685841","wikidata":"https://www.wikidata.org/wiki/Q7834462","display_name":"Transitional care","level":3,"score":0.4237481653690338},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.4150310754776001},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.33938103914260864},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.25509458780288696},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006299","descriptor_name":"Health Services for the Aged","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D035862","descriptor_name":"Vulnerable Populations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057186","descriptor_name":"Comparative Effectiveness Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.2217/cer.13.58","doi":"https://doi.org/10.2217/cer.13.58","is_oa":false,"landing_page_url":"https://doi.org/10.2217/cer.13.58","pdf_url":null,"source":{"id":"https://openalex.org/S2489859990","display_name":"Journal of Comparative Effectiveness Research","issn_l":"2042-6305","issn":["2042-6305","2042-6313"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310321119","host_organization_name":"Future Medicine","host_organization_lineage":["https://openalex.org/P4310321119"],"host_organization_lineage_names":["Future Medicine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Comparative Effectiveness Research","raw_type":"journal-article"},{"id":"pmid:24236743","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24236743","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of comparative effectiveness research","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":50,"referenced_works":["https://openalex.org/W24778096","https://openalex.org/W656268522","https://openalex.org/W1594567624","https://openalex.org/W1869877644","https://openalex.org/W1933024151","https://openalex.org/W1943745580","https://openalex.org/W1966656052","https://openalex.org/W1976249177","https://openalex.org/W1981400547","https://openalex.org/W1986406928","https://openalex.org/W2003036826","https://openalex.org/W2004688355","https://openalex.org/W2006312805","https://openalex.org/W2010967799","https://openalex.org/W2013667564","https://openalex.org/W2019717396","https://openalex.org/W2024641550","https://openalex.org/W2030262242","https://openalex.org/W2031072055","https://openalex.org/W2032620602","https://openalex.org/W2033614689","https://openalex.org/W2041319677","https://openalex.org/W2078904760","https://openalex.org/W2079283960","https://openalex.org/W2083340845","https://openalex.org/W2085964640","https://openalex.org/W2087178869","https://openalex.org/W2089091745","https://openalex.org/W2092494038","https://openalex.org/W2097377402","https://openalex.org/W2099269088","https://openalex.org/W2106138690","https://openalex.org/W2107958595","https://openalex.org/W2109052610","https://openalex.org/W2123708941","https://openalex.org/W2137068037","https://openalex.org/W2138588255","https://openalex.org/W2141344358","https://openalex.org/W2143347848","https://openalex.org/W2145225199","https://openalex.org/W2154688776","https://openalex.org/W2155200316","https://openalex.org/W2156229083","https://openalex.org/W2161865427","https://openalex.org/W2163043223","https://openalex.org/W2334640301","https://openalex.org/W2463698642","https://openalex.org/W2741332232","https://openalex.org/W4249014542","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W7164853946","https://openalex.org/W4405966492","https://openalex.org/W7112452571","https://openalex.org/W3164268950","https://openalex.org/W6995719049","https://openalex.org/W2326661626","https://openalex.org/W7126125274","https://openalex.org/W2049806753","https://openalex.org/W3139062771","https://openalex.org/W2921505688"],"abstract_inverted_index":{"Multiple":[0],"studies":[1],"reveal":[2],"that":[3,110],"the":[4,39,79],"healthcare":[5],"needs":[6],"of":[7,71,78,83,102,113],"chronically":[8],"ill":[9],"older":[10,115],"adults":[11,116],"are":[12],"poorly":[13],"managed":[14],"and":[15,30,45,53,92,117],"often":[16],"have":[17],"devastating":[18],"consequences.":[19],"This":[20],"paper":[21],"examines":[22],"available":[23],"evidence":[24],"related":[25,86],"to":[26,56,81,87,105],"improving":[27],"care":[28,64],"management":[29,65],"outcomes":[31],"in":[32,63],"this":[33],"vulnerable":[34],"patient":[35,43],"group.":[36],"Findings":[37],"reinforce":[38],"need":[40],"for":[41,94],"enhanced":[42],"engagement":[44,112],"suggest":[46],"comparative":[47,73,107],"effectiveness":[48,74,108],"research":[49,109],"as":[50,68],"an":[51,69],"important":[52],"immediate":[54],"path":[55],"optimize":[57],"patient-clinician":[58],"partnerships.":[59],"An":[60,76],"ongoing":[61],"study":[62],"is":[66,96],"described":[67],"example":[70],"such":[72],"research.":[75],"overview":[77],"barriers":[80],"implementation":[82],"evidence-based":[84],"strategies":[85],"health":[88],"literacy,":[89],"shared":[90],"decision-making":[91],"accountability":[93],"self-management":[95],"provided,":[97],"followed":[98],"by":[99],"a":[100],"set":[101],"recommendations":[103],"designed":[104],"facilitate":[106],"advances":[111],"high-risk":[114],"their":[118],"family":[119],"caregivers.":[120]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}